» Articles » PMID: 35310019

Two Strains and Drug Adherence: An HIV Model in the Paradigm of Community Transmission

Overview
Journal Nonlinear Dyn
Date 2022 Mar 21
PMID 35310019
Authors
Affiliations
Soon will be listed here.
Abstract

A two-strain model, comprising of drug-sensitive and drug-resistant strains, is proposed for the dynamics of Human Immunodeficiency Virus (HIV) spread in a community. A treatment model is introduced by taking drug adherence into account. The treatment-free model is analyzed for the effect of treatment availability and drug adherence on disease dynamics. The analysis revealed that for the treatment-free model, at least one strain faces competitive exclusion, and co-existence of both strains is not possible. On the contrary, both strains may co-exist in presence of treatment. The analysis carried out was both local, as well as global. A comprehensive bifurcation analysis showed periodic behaviour and all solutions approached a stable limit cycle for a wide range of parametric values. Overall, we concluded that the treatment availability and drug adherence play a significant role in determining the dynamics of HIV spread. Numerical simulations are performed to validate the analytical results using MATLAB.

References
1.
Harrigan P, Hogg R, Dong W, Yip B, Wynhoven B, Woodward J . Predictors of HIV drug-resistance mutations in a large antiretroviral-naive cohort initiating triple antiretroviral therapy. J Infect Dis. 2005; 191(3):339-47. DOI: 10.1086/427192. View

2.
Kozal M . Drug-resistant human immunodefiency virus. Clin Microbiol Infect. 2009; 15 Suppl 1:69-73. DOI: 10.1111/j.1469-0691.2008.02687.x. View

3.
Castillo-Chavez C, Song B . Dynamical models of tuberculosis and their applications. Math Biosci Eng. 2010; 1(2):361-404. DOI: 10.3934/mbe.2004.1.361. View

4.
Kumar V, Encinosa W . Effects of HIV Medication Complexity and Depression on Adherence to HIV Medication. Patient. 2012; 3(1):59-69. DOI: 10.2165/11531090-000000000-00000. View

5.
Little S, Holte S, Routy J, Daar E, Markowitz M, Collier A . Antiretroviral-drug resistance among patients recently infected with HIV. N Engl J Med. 2002; 347(6):385-94. DOI: 10.1056/NEJMoa013552. View